Vahlensieck W, Kürz H J, Steinhauer H, Friedburg H, Sommerkamp H
Department of Urology, University of Freiburg, FRG.
Urol Res. 1990;18(1):53-6. doi: 10.1007/BF00294585.
In the Department of Urology, University of Freiburg, West Germany extracorporeal piezoelectric shock wave lithotripsy (EPL) has been used in the treatment of urinary and biliary stones since November 1987. The first 85 treatments (in 71 patients) for renal stones were evaluated with regard to complications and side effects. There was no need for any anesthesia. Urinary obstruction was observed in 12% of the cases. Aside from the urinary obstruction and urosepsis (2%) no serious complications were seen. Endourological auxiliary measures were applied in 32% (27% prophylactically). The temporary glomerular damage which appeared in some patients vanished within 6 days after treatment. Because of possible asymptomatic ureteral obstruction a close follow up by ultrasound is recommended. EPL was found to be a useful method of treatment for renal calculi with few side effects.
在德国西部弗赖堡大学泌尿外科，自1987年11月以来，体外压电冲击波碎石术（EPL）已用于治疗尿路结石和胆结石。对首批85例（71名患者）肾结石治疗的并发症和副作用进行了评估。无需任何麻醉。12%的病例出现尿路梗阻。除尿路梗阻和尿脓毒症（2%）外，未观察到严重并发症。32%（27%为预防性）采用了腔内泌尿外科辅助措施。部分患者出现的暂时性肾小球损伤在治疗后6天内消失。由于可能存在无症状输尿管梗阻，建议通过超声密切随访。发现EPL是一种治疗肾结石的有效方法，副作用少。
